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Cristiano Rodríguez, Julián EfrénAuthorCristiano JAuthorPuig DAuthor

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July 5, 2021
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Personalized balance games for children with cerebral palsy: A pilot study

Publicated to:Journal Of Pediatric Rehabilitation Medicine. 14 (2): 237-245 - 2021-01-01 14(2), DOI: 10.3233/PRM-190666

Authors: Kachmar, Oleh; Kushnir, Anna; Fedchyshyn, Bohdana; Cristiano, Julian; O'Flaherty, John; Helland, Kjetil; Johnson, Gordon; Puig, Domenec

Affiliations

HuginTech As - Author
HuginTech AS, Oslo, Norway - Author
Int Clin Rehabil, 37 Pomiretska Str, UA-82200 Truskavets, Ukraine - Author
International Clinic of Rehabilitation - Author
Natl Microelect Applicat Ctr Ltd, Limerick, Ireland - Author
THE NATIONAL MICROELECTRONICS APPLICATIONS CENTRE LTD - Author
UBITECH LIMITED - Author
Ubitech Ltd, Surrey, England - Author
Univ Rovira & Virgili, Tarragona, Spain - Author
Universitat Rovira i Virgili - Author
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Abstract

PURPOSE: To assess the changes in balance function in children with cerebral palsy (CP) after two weeks of daily training with personalized balance games. METHODS: Twenty-five children with CP, aged 5 to 18 years were randomly selected for experimental or control groups. Over a period of two weeks, all participants received 8-9 game sessions for 15-20 minutes, totaling 150-160 minutes. The experimental group used personalized balance games available from the GAmification for Better LifE (GABLE) online serious gaming platform. Children from the control group played Nintendo Wii games using a handheld Wii Remote. Both groups received the same background treatment. Recorded outcome measures were from a Trunk Control Measurement Scale (TCMS), Timed Up Go Test (TUG), Center of Pressure Path Length (COP-PL), and Dynamic Balance Test (DBT). RESULTS: After two weeks of training in the experimental group TCMS scores increased by 4.5 points (SD = 3.5, p< 0.05) and DBT results increased by 0.88 points (IQR = 1.03, p< 0.05) while these scores did not change significantly in the control group. Overall, TUG and COP-PL scores were not affected in either group. CONCLUSION: This study demonstrates improvement of balancing function in children with CP after a two-week course of training with personalized rehabilitation computer games.

Keywords

go testneurological disordersphysical therapyrehabilitationreliabilityserious gamesvideo gamesAdolescentCerebral palsyChildChild, preschoolExercise therapyGame therapyHumansNeurological disordersPhysical therapyPilot projectsPostural balanceRehabilitationSerious gamesTrunk controlVideo games

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Journal Of Pediatric Rehabilitation Medicine due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2021, it was in position , thus managing to position itself as a Q2 (Segundo Cuartil), in the category Rehabilitation.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 3.33, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Jul 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-07-05, the following number of citations:

  • WoS: 6
  • Scopus: 7
  • Europe PMC: 4
  • Google Scholar: 12

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-07-05:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 151.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 151 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 3.

Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Norway; Ukraine; United Kingdom.

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: Last Author (Puig Valls, Domènec Savi).